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[DOCX File]Request for Expanded FMLA Leave (Coronavirus)
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Request for Expanded FMLA Leave Form (COVID-19). To request expanded FMLA leave as provided under the Families First Coronavirus Response Act and the Expanded Family and Medical Leave Policy, please complete the following request form and submit to your human resources department as soon as possible before leave commences.
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[DOC File]FMLA LEAVE REQUEST COVER LETTER
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Please complete the employee section of the Leave of Absence Request and have your health care provider complete the enclosed Certification. All forms to be completed should be returned to _____ within 15 calendar days of this request. Failure to provide the required documentation may result in delay or denial of leave.
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[DOCX File]Request for Emergency Paid Sick Leave
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To request emergency paid sick leave or emergency FMLA as provided under the Families First Coronavirus Response Act, please complete the following request form and submit to your manager or Human Resources as soon as possible before your leave commences. Verbal notice will be accepted until a form can be provided.
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[DOCX File]FMLA Notification Letter
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FMLA Denial Letter. DATE. Employee Name. Employee Address. CITY, ST, ZIP. Dear EMPLOYEE, This letter is intended solely as notice that your current absence is not eligible for coverage under the Family and Medical Leave Act of 1993 (FMLA). It is not intended as a statement regarding your eligibility to be absent from the workplace.
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[DOCX File]EMERGENCY PAID SICK LEAVE REQUEST FORM FOR COVID …
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EMERGENCY PAID SICK LEAVE REQUEST FORM FOR COVID-19-RELATED LEAVE. Effective for requests made on or after April 1, 2020 through December 31, 2020. Date: Employee. ID: Name (please print): Employee. Title/Position: Employee. Supervisor: I am unable to work, including engaging in telework and would like to request emergency paid sick leave because
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[DOC File]FMLA LEAVE REQUEST COVER LETTER
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In response to your request for a leave of absence to care for a family member with a serious health condition, we are providing you with information pertaining to the University’s Family and Medical Leave (FML) policy. Enclosed are several forms: Leave of Absence Request. Notice of …
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[DOCX File]FMLA COVID-19 Request Form - FINAL (03697882).DOCX
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FMLA ELIGIBILITY SUPPLEMENTAL FORM FOR COVID-19-RELATED LEAVE. Effective for such requests made on or after April 1, 2020 through December 31, 2020. The Families First Coronavirus Response Act, enacted on March 18, 2020, increases employee access to Family and Medical Leave Act (FMLA) leave to cover leave requests related to the COVID-19 pandemic.
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[DOC File]FMLA Exhausted Leave Letter - Emory University
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Non FMLA leaves of absence (i.e. medical leave of absence, personal leave of absence, etc.) do not guarantee an employee’s return to the same position or reinstatement to any position. This letter serves as a notification that your position will be held until . If you have not returned by that time, your position may be posted with ...
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[DOCX File]FMLA Notification Letter
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FMLA Initial Ineligibility Letter: Less Than 12 Months of Service and/or Less Than 1,250 Hours Worked (edit the first paragraph as applicable) DATE. Employee Name. Employee Address. CITY, ST, ZIP. Dear EMPLOYEE, We have reviewed your request for leave under the FMLA and supporting documentation you have provided.
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[DOC File]CERTIFICATION NOT RECEIVED
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Enclosed is another [name of form(s) not received]. [This/These] form(s) must be completed and should be returned to _____ as soon as possible and preferably within 7 calendar days of this request. Unless and until the required documentation is provided, your absences will not be designated as FML.
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Sample of fmla request form